Scheithauer M O, Scheithauer I, Klöcker N, Verse T
Universitätsklinik und Poliklinik für Hals-Nasen-Ohren-Heilkunde Ulm.
Laryngorhinootologie. 2006 Jan;85(1):14-9. doi: 10.1055/s-2005-870256.
The recommended postoperative care after sinus-surgery is based on gentle removal of crusts, the regular moistening of the endonasal mucosa, and the application of ointments. The efficacy and the compliance of two different methods of mucosal irrigation are described in a patients series.
In a randomised study 50 patients who had undergone endoscopic sinus-surgery, 24 patients using a nasal spray and 20 patients using manual irrigation were reviewed. The endonasal degree of obstruction was videotaped at four different locations (nasal floor, middle meatus, maxillary sinus ostium, ethmoidal system) on two different examinations.
The only significantly reduced grade of obstruction was found in the ethmoidal system in the group using nasal spray. The results in the other locations showed no difference comparing both irrigation methods. The acception rate was higher in the group of nasal spray users.
Nasal spray seems to be superior to manual irrigation in regard to postoperative wound conditioning, handling, and hygienic aspects.
鼻窦手术后推荐的术后护理基于轻柔清除痂皮、定期湿润鼻内黏膜以及涂抹药膏。在一组患者中描述了两种不同的黏膜冲洗方法的疗效和依从性。
在一项随机研究中，对50例行内镜鼻窦手术的患者进行了评估，其中24例使用鼻喷雾剂，20例使用手动冲洗。在两次不同检查中，在四个不同位置（鼻底、中鼻道、上颌窦口、筛窦系统）对鼻内阻塞程度进行录像。
在使用鼻喷雾剂的组中，仅筛窦系统的阻塞等级显著降低。在其他位置，两种冲洗方法的结果无差异。鼻喷雾剂使用者组的接受率更高。
在术后伤口护理、操作和卫生方面，鼻喷雾剂似乎优于手动冲洗。
